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Charlyn Ponds
Child Mental Illness Respite Care in Chandler, Arizona
NPI 1285276345

Charlyn Ponds is a Child Mental Illness Respite Care based in Chandler, AZ and is specialized in Respite Care, Mental Illness, Child. Charlyn Ponds practices in Chandler, AZ. The NPI Number for Charlyn Ponds is 1285276345 and holds a License No. 8091955 (Arizona).

The current practice location address for Charlyn Ponds is 235 E Ray Rd Apt 2035, Chandler, AZ and can be reached out via phone at 480-692-9136.

Location: 235 E Ray Rd Apt 2035, Chandler, AZ, 85225-3362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285276345
Provider Name
Charlyn Ponds
Credential
Provider Entity Type
Individual
Gender
Female
Address
235 E Ray Rd Apt 2035, Chandler, AZ, 85225-3362
Phone Number
480-692-9136
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8091955 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
235 E Ray Rd Apt 2035
City
Chandler
State
Arizona
Zip
85225-3362
Phone Number
480-692-9136
Fax Number
person
Provider Business Mailing Address Details
Address
235 E Ray Rd Apt 2035
City
Chandler
State
Arizona
Zip
85225-3362
Phone Number
480-692-9136
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
8091955 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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